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F98.4

F98.4: Stereotyped movement disorders

Billable / specific codeICD-10-CM

F98.4 is a billable, specific ICD-10-CM code for stereotyped movement disorders. It is valid for submission on a claim.

Check F98.4 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • abnormal involuntary movements (R25.-)

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

  • compulsions in obsessive-compulsive disorder (F42.-)
  • hair plucking (F63.3)
  • movement disorders of organic origin (G20-G25)
  • nail-biting (F98.8)
  • nose-picking (F98.8)
  • stereotypies that are part of a broader psychiatric condition (F01-F95)
  • thumb-sucking (F98.8)
  • tic disorders (F95.-)
  • trichotillomania (F63.3)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Stereotype/habit disorder

Excludes2 inherited from the categories above F98.4

Not part of this code, but both may be coded when both are present.

Written on F98: Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence

  • breath-holding spells (R06.89)
  • gender identity disorder of childhood (F64.2)
  • Kleine-Levin syndrome (G47.13)
  • obsessive-compulsive disorder (F42.-)
  • sleep disorders not due to a substance or known physiological condition (F51.-)

Other codes that can never be billed with F98.4

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • R25Abnormal involuntary movements

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

F98.4 is named in 8 Medicare coverage policies: 7 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.

  • A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
  • A56937Billing and Coding: Psychiatry and Psychology Services
  • A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
  • A57130Billing and Coding: Psychiatric Codes

Alphabetic index entries that lead here

  • Spasmus nutans
  • Stereotypies NEC
  • Body, bodies›rocking
  • Disorder›stereotyped, habit or movement
  • Spasm, spastic, spasticity›nodding
  • Disorder›movement›stereotyped
  • Hair›plucking›in stereotyped movement disorder

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under F98

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.